Provider Demographics
NPI:1417635798
Name:SALMON, MOLLIE ROSE (DNP, FNP-BC)
Entity Type:Individual
Prefix:DR
First Name:MOLLIE
Middle Name:ROSE
Last Name:SALMON
Suffix:
Gender:F
Credentials:DNP, FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:49 CHARLES ST
Mailing Address - Street 2:
Mailing Address - City:METUCHEN
Mailing Address - State:NJ
Mailing Address - Zip Code:08840-2748
Mailing Address - Country:US
Mailing Address - Phone:732-221-0963
Mailing Address - Fax:
Practice Address - Street 1:1527 NJ-27
Practice Address - Street 2:B100
Practice Address - City:NORTH BRUNSWICK TOWNSHIP
Practice Address - State:NJ
Practice Address - Zip Code:08873
Practice Address - Country:US
Practice Address - Phone:732-220-1222
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-07-07
Last Update Date:2023-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NJ14866300363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily